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In severe cases, patients may develop visual disturbances due to optic neuropathy

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doi: 10.1097/MD.0000000000029678 243 VasyukovaEZaikovaEKalininaOGorelovaIPyanovaIBogatyrevaEet al

Check your serum's pH, and if it's outside 4.55.5, adjust with citric acid or sodium hydroxide